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General NPI Number Information
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NPI Number | 1871768507
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Entity Type | Organization
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Legal Business Name | MAJURE SKIN CARE & WELLNESS CENTER, PA
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 348 N SOUTH ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-3532
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Country | US
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Telephone | 336-786-6945
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Fax | 336-789-5782
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Provider Business Mailing Address
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Address Line | 348 N SOUTH ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-3532
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Country | US
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Telephone | 336-786-6945
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Fax | 336-789-5782
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID A MAJURE
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Credential | MD
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Telephone | 336-786-6945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200101087
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License Number State | NC
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